Appointments – Frederiksted Health Care

(340) 772-0260

support@fhc-inc.net

Frederiksted--Sunshine Mall -- La Grande Princess -- Sion Farm -- Orange Grove

For Medical Emergencies or Psychiatric Attention, please call 911

(Para Emergencias Médicas o Atención Psiquiátrica por favor llamar al 911)

To contact the after hours answering service for medical assistance dial (340)772-0260

(Para comunicarse con el Servicio de Contestador fuera de horario para asistencia médica marque (340)772-0260)

First Name

Last Name

Date of birth (mm/dd/yyyy) (just enter the numbers, slashes will be added automatically)

Gender

Phone number (###) ###-#### (just enter the numbers, formatting is automatic)

Address Line 1

Address Line 2

City

Located on:

Zip Code

Email Address

Have you previously been treated at Frederiksted Health Care? (¿Ha sido tratado antes en FHC?)

Yes

If you answered Yes, please provide the following information /

si su respuesta es Sí, proporcione la siguiente información:

Date of last visit (mm/dd/yyyy)

Reason for last visit (motivo de la última visita)

Who were you last seen by? (¿quien te vio?)

Type of Appointment

MEDICAL

DENTAL

You want the next available appointment on / desea la próxima cita disponible en esta fecha:

If both morning and afternoon appointments are available on the date you selected, you prefer

Morning

Afternoon

Don't care

Please select a location for your appointment / seleccione una clínica para su cita: